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Stereotactic Surgery for Temporal Lobe Epilepsy

Published online by Cambridge University Press:  02 December 2014

Andrew G. Parrent  and
Andres M. Lozano
Andrew G. Parrent
Affiliation:
Division of Neurosurgery, Department of Clinical Neurological Sciences, London Health Sciences Centre, London ON, Canada
Andres M. Lozano
Affiliation:
Division of Neurosurgery, The Toronto Hospital, Toronto ON, Canada
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Abstract

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In light of the recent resurgence of interest in stereotactic functional procedures, the authors have reviewed the role of stereotactic ablative surgery in the treatment of temporal lobe epilepsy. Literature pertaining to stereotactic amygdalotomy, hippocampotomy and fornicotomy is reviewed and summarized. However, the results presented in those early studies are difficult to interpret given the surgical techniques and outcome assessment used. Modern stereotactic ablative surgery using current image-guided technology offers the opportunity to revisit some of these techniques. In recent studies of stereotactic amygdalohippocampotomy, outcomes are not as favorable as those obtained with standard temporal resections. However, these relatively discrete ablative techniques may shed light on the anatomical substrate underlying temporal lobe epilepsy.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 27 , Issue S1: Canadian Temporal Lobe Epilepsy Surgery Workshop , May 2000 , pp. S79 - S84
Copyright
Copyright © The Canadian Journal of Neurological 2000

References

1. Morillo, LE, Ebner, TJ, Bloedel, JR. The early involvement ofsubcortical structures during the development of a cortical seizure focus. Epilepsia 1972; 13: 597–608.Google Scholar
2. Andrew, J, Watkins, ES. A stereotactic atlas of the human thalamusand related structures. A variability study. Baltimore, Williams & Wilkins, 1969.Google Scholar
3. Schaltenbrand, G, Bailey, P. Introduction to Stereotaxis with an Atlasof the Human Brain. Stuttgart: Thieme, 1959.Google Scholar
4. van Buren, MJ, MacCubbin, DA. An outline atlas of the human basalganglia with estimation of anatomical variation. J Neurosurg 1962; 19: 811–839.CrossRefGoogle Scholar
5. Narabayashi, H, Nagao, T, Saito, Y, Yoshida, M, Nagahata, M. Stereotaxic amygdalotomy for behavior disorders. Arch Neurol 1963; 9: 1–16.CrossRefGoogle ScholarPubMed
6. Narabayashi, H, Mizutani, T. Epileptic seizures and the stereotaxicamygdalotomy. Confin Neurol 1970; 32: 289–297.Google Scholar
7. Narabayashi, H. From experiences of medial amygdalotomy onepileptics. Acta Neurochir 1980; suppl. 30: 75–81.Google Scholar
8. Schwab, RS, Sweet, WH, Mark, VH, Kjellberg, RN, Ervin, FR. Treatment of intractable temporal lobe epilepsy by stereotactic amygdala lesions. Trans Am Neurol Assoc 1965; 90: 12–19.Google Scholar
9. Heimburger, RF, Small, IF, Milstein, V, Moore, D. Stereotacticamygdalotomy for convulsive and behavioral disorders. Appl Neurophysiol 1978; 41: 43–51.Google Scholar
10. Heimburger, RF, Whitlock, CC, Kalsbeck, JE. Stereotaxicamygdalotomy for epilepsy with aggressive behavior. JAMA 1966; 198: 741–745.Google Scholar
11. Vaernet, K. Stereotaxic amygdalotomy in temporal lobe epilepsy. Confin Neurol 1972; 34: 176–180.CrossRefGoogle ScholarPubMed
12. Flanigin, HF, Nashold, BS. Stereotactic lesions of the amygdala andhippocampus in epilepsy. Acta Neurochir 1976; suppl. 23: 235–239.Google Scholar
13. Mempel, E, Witkiewicz, B, Stadnicki, R, et al. The effect of medialamygdalotomy and anterior hippocampotomy on behavior and seizures in epileptic patients. Acta Neurochir 1980; suppl. 30: 161–167.Google Scholar
14. Nadvornik, P, Sramka, M. Anatomical considerations for thestereotaxic longitudinal hippocampectomy. Confin Neurol 1975; 36: 177–181.Google Scholar
15. Nadvornik, P, Sramka, M, Gajdosova, D, Kokavec, M. Longitudinalhippocampectomy. Confin Neurol 1975; 37: 244–248.Google Scholar
16. Talairach, J, Szikla, G. Destruction partielle amygdalohippo-campique par l’yttrium 90 dans le traitement de certaines epilepsies rhinencephalique. Neuro-Chirurgie 1965; 11: 233–240.Google Scholar
17. Narabayashi, H. Discussion of Vaernet, K., Stereotacticamygdalotomy in temporal lobe epilepsy. Confin Neurol 1972; 34: 182.Google Scholar
18. Umbach, W. Elektrophysiologisch und vegetative Phanomene beistereotaktischen Hirnoperationen. Berlin/Heidelberg/New York: Springer, 1966.CrossRefGoogle Scholar
19. Umbach, W. Long-term results of fornicotomy for temporal epilepsy. Confin Neurol 1966; 27: 121–123. CrossRefGoogle ScholarPubMed
20. Bouchard, G, Umbach, W. Indications for open and stereotactic brainsurgery in epilepsy. In: Fusek, I, Kunc, Z, eds. Present limits of neurosurgery. Amsterdam: Excerpta Medica, 1972: 403–406.Google Scholar
21. Schaltenbrand, G, Spuler, H, Nadjimi, M, Hopf, H, Wahren, W. Diestereotaktische Behandlung der Epilepsien. Confin Neurol 1966; 27: 111–113.Google Scholar
22. Patil, AA, Torkelson, AR. Minimally invasive surgical approach forintractable seizures. Stereotact Funct Neurosurg 1995; 65: 86–89.Google Scholar
23. Patil, AA, Andrews, R, Torkelson, R. Stereotactic volumetricradiofrequency lesioning of intractable seizures. Stereotact Funct Neurosurg 1995; 64: 123–133.Google Scholar
24. Parrent, AG, Blume, WT. Stereotactic amygdalohippocampotomy forthe treatment of medial temporal lobe epilepsy. Epilepsia 1999; 40: 1408–1416.CrossRefGoogle Scholar
25. Regis, J, Rey, M, Genton, P, et al. Gamma knife surgery instead ofepilepsy surgery for mesial temporal lobe epilepsy. Epilepsia 1966; 37, suppl. 5: 182.Google Scholar
26. Regis, J, Rey, M, Vladyka, V, et al. Gamma knife for mesial temporallobe epilepsy: preliminary results of the European multicentric controlled study. Epilepsia 1998; 39 suppl 6: 91.Google Scholar
27. Heikkinen, ER, Heikkinen, MI, Sotaniemi, K. Stereotacticradiotherapy instead of conventional epilepsy surgery. A case report. Acta Neurochir (Wein) 1992; 119: 159–160.Google Scholar
28. Engel, J Jr, Van Ness, P, Rasmussen, T, et al. Outcome with respect toseizures. In: Engel, J Jr, ed. Surgical Treatment of the Epilepsiesed 2. New York, Raven Press, 1992: 609–622.Google Scholar
29. Haglund, MM, Ojemann, LM. Seizure outcomein patients undergoing temporal lobe resections for epilepsy. In: Neurosurgery Clinics of North America 1993; 4(2): 337–344.Google Scholar
30. Wieser, HG. Selective amygdalohippocampectomy: indications andfollow-up. Can J Neurol Sci 1991; 18: 617–627.Google Scholar
31. Goldring, S, Edwards, I, Harding, GW, Bernardo, KL. Results ofanterior temporal lobectomy that spares the amygdala in patients with complex partial seizures. J Neurosurg 1992; 77: 185–193.CrossRefGoogle Scholar